Individual provider · Type 1 NPI

Kimberly Ann Defatta, PNP

Pediatric Nurse Practitioner · Jamaica, NY

NPI number 1992903983 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Mailing address

5631 226th St, Apt 1
Oakland Gardens, NY 11364-2044

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381894-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1992903983

Kimberly Ann Defatta, PNP's National Provider Identifier is 1992903983, issued on Jul 11, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jamaica, NY. The record was last updated on Jul 11, 2007.